Individual
DR. IVELESSE DUPREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6801 ROGERS AVE, FORT SMITH, AR 72903-4067
(479) 452-2077
Mailing address
PO BOX 3528, FORT SMITH, AR 72913-3528
(479) 452-2077
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E-5556
AR
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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